Abstract

Lantern on Dome of St. PaulÃ¢ÂÂs Ã¢ÂÂ A Huge Cervical Fibroid

A 30-year-old woman, with an obstetrics history of gravid 3 para 2, last child birth by classical caesarean section, complained of history of retention of urine twice in past 3 months along with menorrhagia. The patient was told to have lower segment leiomyoma located on the lower segment when caesarean section was performed 3 years back. She subsequently was lost to follow up till she become symptomatic for her disease. Bimanual examination revealed a solid mass extending till umbilicus. Abdominopelvic examination revealed a huge myoma filling and enlarging the cervix. Ultrasonography showed a 28 × 15 cm myoma in the cervical region and bilateral hydrourteronephrosis.